SALOFALK 1000 MG PROLONGED-RELEASE GRANULES

2. What you need to know before you take Salofalk 1000 mg granules

Do not take Salofalk granules:

• If you are allergic to mesalazine, salicylic acid, salicylates such as acetylsalicylic acid (e.g. Aspirin) or any of the other ingredients of this medicine (listed in section 6).
• If you have severe liver or kidney disorders.

Warnings and precautions

Consult your doctor before starting to take Salofalk 1000 mg granules

• if you have a history of lung disease, particularly if you suffer from bronchial asthma
• if you have a history of allergy to sulfasalazine, a substance related to mesalazine
• if you have liver problems
• if you have kidney problems
• If you have ever suffered from a severe skin rash, peeling, or blisters in the mouth after using mesalazine
• Mesalazine may cause a discoloration of the urine to a reddish-brown color after contact with sodium hypochlorite bleach in the toilet water. This is a chemical reaction between mesalazine and bleach and is harmless.

Additional precautions

During treatment, your doctor may want to keep you under medical supervision, and you may need to have regular blood and urine tests.

Kidney stones can occur with the use of mesalazine. The symptoms include pain in the sides of the abdomen and the presence of blood in the urine. Make sure to drink enough liquid during treatment with mesalazine.

Severe skin rashes, such as drug reaction with eosinophilia and systemic symptoms (DRESS), Stevens-Johnson syndrome (SSJ), and toxic epidermal necrolysis (NET), have been observed with mesalazine treatment. Stop taking mesalazine and seek immediate medical attention if you notice any of the symptoms related to these severe skin reactions described in section 4.

Using Salofalk 1000 mg granules with other medicines

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, in particular:

• Azathioprine, 6-mercaptopurine or thioguanine(medicines for treating immune system disorders)
• Certain agents that inhibit blood coagulation(medicines for thrombosis or to thin the blood, such as warfarin)
• Lactulose(a medicine used for constipation) or other preparations that can change the acidity of your stools

Tell your doctor or pharmacist if you are using or have recently used other medicines, even those obtained without a prescription. It may still be all right to use Salofalk granules, and your doctor will be able to decide what is best for you.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

You should use Salofalk granules during pregnancy only if your doctor has told you to.

Also, you should only use Salofalk granules during breastfeeding if your doctor has told you to, as this medicine can pass into breast milk.

Driving and using machines

Salofalk granules have no or negligible influence on the ability to drive and use machines.

Salofalk 1000 mg granules contain aspartame, sucrose, and sodium

This medicine contains 2 mg of aspartame in each sachet of Salofalk 1000 mg granules. Aspartame is a source of phenylalanine, which may be harmful if you have phenylketonuria (PKU), a rare genetic disorder in which phenylalanine accumulates because the body is unable to eliminate it properly. If your doctor has told you that you have an intolerance to some sugars, consult with them before taking this medicine. This medicine contains less than 1 mmol of sodium (23 mg) per sachet; this is essentially "sodium-free".

3. How to take Salofalk 1000 mg granules

Follow the instructions for administration of this medicine exactly as told by your doctor. If you are unsure, consult your doctor or pharmacist again.

Method of administration

Salofalk granules are for oral use only.

Salofalk granules must not be chewed. The granules should be taken by placing them directly on the tongue and then swallowing them with plenty of liquid, but without chewing.

Posology:

Adults and elderly

Unless your doctor has prescribed otherwise, the usual dosage for the treatment of acute episodes of ulcerative colitisis, depending on individual clinical requirements, 3 sachets of Salofalk 1000 mg granules (equivalent to 3g of mesalazine per day) once daily, preferably in the morning, or 1 sachet of Salofalk 1000 mg granules, three times a day (morning, noon, and night).

For the prevention of relapses of ulcerative colitis

The usual dosage for preventing new episodes of ulcerative colitis is:

1 sachet of Salofalk 500mg granules three times a day (equivalent to 1.5g of mesalazine per day).

If, in your doctor's opinion, you have a higher risk of relapse, the dosage for preventing new episodes of ulcerative colitis is:

3 sachets of Salofalk 1000 mg granules, once daily, preferably in the morning (equivalent to 3g of mesalazine per day).

Use in children

There is only limited documentation on the effect in children (from 6 to 18 years).

Children 6 years and older

Please ask your doctor about the correct dosage of Salofalk granules for your child.

In acute episodes:the dose should be determined individually, starting with 30-50 mg of mesalazine per kg body weight and per day, which should be administered once daily, preferably in the morning, or divided into several doses. The maximum dose is 75mg of mesalazine per kg body weight per day. The total dose should not exceed the maximum dose in adults.

For prevention of relapses:the dose should be determined individually, starting with 15-30 mg of mesalazine per kg body weight and per day, which should be administered divided into several doses. The total dose should not exceed the recommended total dose in adults.

It is generally recommended to use half the adult dose for children up to 40kg and the normal adult dose for children over 40kg body weight.

Duration of treatment

Treatment of acute episodes of ulcerative colitis usually lasts 8 weeks. Your doctor will decide how long you need to continue treatment with this medicine, depending on the progression of your disease.

In order to achieve the maximum therapeutic effects of this medicine, you should take Salofalk granules regularly and systematically, both during the acute episode of inflammation and during long-term treatment as prescribed.

If you think that Salofalk granules are too strong or too weak, consult your doctor.

If you take more Salofalk granules than you should

Contact your doctor if you have any doubts, so that they can decide what to do.

If you take too much Salofalk granules at one time, just take the next dose as prescribed. Do not take a smaller dose.

If you forget to take Salofalk granules

Do not take a double dose to make up for forgotten doses.

If you stop taking Salofalk granules

Do not stop taking this medicine until you have spoken to your doctor.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Salofalk granules can cause side effects, although not everybody gets them.

If you experience any of the following symptoms after taking this medicine, you should contact your doctor and stop taking Salofalk granules immediately:

• General allergic reactions such as skin rash, fever, joint pain, and/or difficulty breathing or a general inflammation of the large intestine (which causes severe diarrhea and abdominal pain). These reactions are very rare.
• A significant worsening of your general health, especially if accompanied by fever and/or throat and mouth pain. These symptoms, very rarely, can be caused by a decrease in the number of white blood cells in the blood (agranulocytosis), which can increase your propensity to contract a serious infection. Other blood cells (such as platelets and red blood cells) can also be affected, causing anemia, aplastic anemia, or thrombocytopenia, which can cause symptoms such as unexplained bleeding, small purple spots on the skin, and anemia (feeling tired and weak and pale, especially in the lips and nails). A blood test can confirm if the symptoms are due to an effect of this medicine on the blood. These reactions are very rare.
• Severe skin rashes with reddish, non-elevated, circular, or target-shaped patches on the trunk, often with central blisters, peeling of the skin, ulcers in the mouth, throat, nose, genitals, and eyes, generalized rash, fever, and enlargement of the lymph nodes. They can be preceded by fever and flu-like symptoms. These reactions occur in an unknown number of people (frequency not known).
• Difficulty breathing, chest pain, or irregular heartbeat, or swelling of the limbs, which can indicate cardiac hypersensitivity reactions. These reactions are rare.
• Kidney problems (which can occur very rarely), such as a change in the color or amount of urine produced and swelling of the limbs or sudden pain in the side (caused by a kidney stone) (occurring in an unknown number of people (frequency not known).

The following side effects have also been reported by patients using mesalazine:

Common side effects (may affect up to 1 in 10 people)

Headache

Skin rash, itching

Uncommon side effects (may affect up to 1 in 100 people)

• Abdominal pain, diarrhea, dyspepsia, gas (flatulence), nausea, and vomiting
• Severe abdominal pain due to acute pancreatitis
• Changes in liver function parameters, changes in pancreatic enzymes

Rare side effects (may affect up to 1 in 1,000 people)

• Dizziness
• Jaundice or abdominal pain due to liver or bile flow disorders
• Increased sensitivity of the skin to sunlight and ultraviolet light (photosensitivity)
• Joint pain
• Feeling of weakness or fatigue

Very rare side effects (may affect up to 1 in 10,000 people)

• Numbness and tingling in hands and feet (peripheral neuropathy)
• Shortness of breath, cough, wheezing, lung shadow on X-rays due to allergic and/or inflammatory lung conditions
• Hair loss and development of baldness
• Muscle pain
• Reversible decrease in semen production

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly to the Spanish Medicines Agency's Pharmacovigilance System for Human Use: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Salofalk 1000 mg granules

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and sachets after EXP.

The expiry date is the last day of the month stated.

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and further information

Composition of Salofalk 1000 mg granules

The active substance is mesalazine, and one sachet of Salofalk 1000 mg granules contains 1000 mg of mesalazine.

The other ingredients are: aspartame (E-951); carmellose sodium; microcrystalline cellulose; citric acid; colloidal anhydrous silica; hypromellose; magnesium stearate; methacrylic acid - methyl methacrylate copolymer (1:1) (Eudragit L-100); methylcellulose; polyacrylate dispersion 40% (Eudragit NE 40 D containing 2% nonoxinol 100); povidone K-25; simethicone; sorbic acid; talc; triethyl citrate; vanilla cream flavor (containing sucrose).

Appearance of the product and pack contents

Salofalk 1000 mg prolonged-release granules are rounded or elongated, beige or brown in color, with or without yellowish surface parts.

Each sachet contains 1.83g of granules.

Salofalk 1000 mg granules are available in cartons of 50 and 100 sachets.

Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

Dr. Falk Pharma GmbH

Leinenweberstr. 5

79108 Freiburg

Germany

Tel +49 (0) 761 / 1514-0

Fax +49(0) 761 / 1514-321

Email: [email protected]

You can obtain further information on this medicine from the local representative of the marketing authorisation holder:

Spain

Dr. Falk Pharma España

Camino de la Zarzuela, 19-1º D

28023 Madrid

Tel +34 913 729 508

Fax +34 913 729 437

Email: [email protected]

This medicine is authorised in the Member States of the European Economic Area under the following names:

Germany, Bulgaria, Denmark, Slovakia, Slovenia, Spain, Finland, Greece, Hungary, Ireland, Italy, Latvia, Norway, Netherlands, Poland, Portugal, United Kingdom, Czech Republic, Sweden: Salofalk

Belgium, Luxembourg: Colitofalk

Austria: Mesagran

France: Osperzo.

Date of last revision of this leaflet: May 2025

Detailed and up-to-date information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.es/